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REV08157
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REV08157
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Entry Properties
Last modified
8/25/2016 1:08:50 AM
Creation date
11/21/2007 9:51:10 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1991037
IBM Index Class Name
Revision
Doc Date
5/1/1995
Doc Name
RECEIPT OF CERTIFIED MAIL
Type & Sequence
SO1
Media Type
D
Archive
No
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III IIIIIIIIIIIIIIII <br />• Ce.gleee Isar t .erl.r a esr edd1l.M .er.l.w. 1 dds wish t0 r~caiw the <br />• Ced~hee bw A .M r ! L ~ 1tr110pNN anNas Mdf ~ attn. <br />• Print your neme.M iderea. on lee ieua.e wtYeleq~Orht've can Teel: <br />rae.e IN. nerd to you. n~ ` <br />• 411e.1r drle form to the hoot or the npppkef: bn t/r beak Y y.oe 1. O Addressee's Address <br />~.~'~~ <br />• "Rtlleatfll.eiptftp.elted"on eurwvAmhwbebwtb•e/Goten4~her <br />• 7LrNenmReogpt va(6ehow to vvh®nthe eullb wx eNWeredndtM dre 2• ~ Resuictad DAlivery <br />d.Yliaad Constdt ostmester for fee. <br />g A e Addl~ssed ta.~ Ardcle Number <br />~ ~C~m C YIC~°VV~'L° o~ Q~ <br />a/~ ~-~~~ ~ b. Service Type <br />-~~ -~,~~ ~.~ ~ ' 9egistered <br />c~ ~, <br />5. Signature <br />Signature (/ <br />~,Co <br />Certified <br />^ Express Mail <br />7. Date of Deliver <br />B. Addressee's A~ <br />and fee is paid <br />i:.:.i_kY a :... <br />^ Insured <br />O COD <br />~ Return Receipt for <br />d <br /> <br />C~ <br />O <br />O <br />tX) <br />0 <br />U <br />U) <br />7 <br />C <br />C <br />CL <br />Q>c <br />0 <br /> <br />P• 296 608 690 <br />Rt~4¢} ti ~ <br />C~#II#~~ ~~a ~ <br />- No Insurance ove~d <br />Do not use for Inte a ail <br />ISee Reverser <br />~. ~o <br /> <br />sim. a~a cnar, <br />Postage ~ _ ~, <br />CanJ~eo fee <br />G <br />Speua~ Deuw~v fee ' <br />fle~IVfSlBfi~~y"rvj~f'~I dUIU , <br />Return flece~pr sn oq <br />io Wnom 5 DmP De en <br />flelum Perxm~ Sn ~, Wno <br />Dare ago AMresse <br />iOi Al Puf r~ <br />8 fees <br />Po5lmark of e <br />.~ <br />2 <br />N <br />Q <br />a° <br />0 <br />w <br />T <br />i.1 <br />r <br />`~: <br />
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